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ToolsRollinson, Rebecca, Ewing, Ben, Reeve, Sarah, Graham, Adam, Lyons, Jonathan, Gee, Brioney, Wilson, Jonathon, Tofan, Ioana, Semper, Kelly and Clarke, Tim (2025) Improving access to help with poor sleep across youth mental health services: Interim implementation and clinical outcomes. British Journal of Clinical Psychology. ISSN 0144-6657
Full text not available from this repository. (Request a copy)Abstract
Objectives: There is a high, unmet sleep need in young people with mental health difficulties. We took a whole-system approach to improving access to sleep support across a youth mental health system (14–25 years). Methods: We used the Exploration, Preparation, Implementation and Sustainment (EPIS) framework to develop an implementation programme (The Better Sleep Programme) incorporating two levels of training: (i) therapeutic practitioners received training and supervision in CBT for insomnia (CBTi) adapted for young people with mental health difficulties, (ii) non-therapeutic practitioners received knowledge and skills workshops. Implementation and clinical outcome measures were collected. Design: Implementation outcomes of acceptability, adoption, appropriateness, accessibility and fidelity were considered for the programme and CBTi intervention within it. Clinical outcomes for the CBTi intervention covered sleep, wellbeing and personal goals and were evaluated using a pre-post comparison within-subject design. Results: High levels of attendance and uptake were seen for CBTi training (210 therapeutic practitioners from 18 services) and workshops (270 attendees from 29 services). Five of the six core service areas trained were routinely offering the CBTi intervention. Significant improvements were seen across all clinical outcome measures (n = 83, p ≤ 0.001 to p ≤ 0.05) with moderate to large effect sizes observed across measures of sleep (d = 0.61–1.35), mental health (d = 0.57–1.26) and personal goals (d = 1.77). Conclusions: This centrally-funded, system-wide implementation programme shows significant promise as a means of improving sleep in young people with mental health difficulties. High uptake with encouraging clinical outcomes was seen across services. Further evaluation is required to establish sustainability and generalizability.
| Item Type: | Article |
|---|---|
| Additional Information: | DATA AVAILABILITY STATEMENT: Data sharing is limited by information governance agreements. Contact the corresponding author for further information. FUNDING INFORMATION: This project was funded by the Norfolk and Waveney Integrated Care Board. |
| Uncontrolled Keywords: | sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 20 Mar 2025 17:30 |
| Last Modified: | 28 Mar 2025 13:15 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/98862 |
| DOI: | 10.1111/bjc.12531 |
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